National Provider Identifier [NPI]: |
1093779548 |
Last Name Of The Provider |
CHAPEK |
First Name Of The Provider |
CLAUDIA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9500 EUCLID AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLEVELAND |
Zip Code Of The Provider |
441950001 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
4107 |
Number Of Medicare Beneficiaries |
2343 |
Total Submitted Charge Amount |
601497 |
Total Medicare Allowed Amount |
86919.19 |
Total Medicare Payment Amount |
66485.88 |
Total Medicare Standardized Payment Amount |
68586.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
113 |
Number Of Medical Services |
4107 |
Number Of Medicare Beneficiaries With Medical Services |
2343 |
Total Medical Submitted Charge Amount |
601497 |
Total Medical Medicare Allowed Amount |
86919.19 |
Total Medical Medicare Payment Amount |
66485.88 |
Total Medical Medicare Standardized Payment Amount |
68586.89 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
612 |
Number Of Beneficiaries Age 65 to 74 |
751 |
Number Of Beneficiaries Age 75 to 84 |
630 |
Number Of Beneficiaries Age Greater 84 |
350 |
Number Of Female Beneficiaries |
1485 |
Number Of Male Beneficiaries |
858 |
Number Of Non Hispanic White Beneficiaries |
1824 |
Number Of Black or African American Beneficiaries |
448 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1405 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
938 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.9515 |